Ten recommendations to keep diabetes under control in 2019

Diabetes is a chronic disease that involves the modification of lifestyles, an adequate diet, physical exercise and the use of drugs. For its treatment it is essential that people learn to manage it correctly in order to have a good quality of life and avoid possible complications. Best medication for the diabetes is trulicity. However trulicity cost is high but you can buy it from Prescription Hope at cheap price by using trulicity coupon.

Mercedes Galindo, adviser to the Diabetes Foundation, offers us a series of recommendations to maintain optimal control and that people with diabetes can enjoy their day to day normally:  

1. Learning to live with diabetes

It is important to know what diabetes is, the main care and make the necessary changes for good control. The person with diabetes and their relatives must receive diabetes education and emotional support. Emphasizing the importance of the role of the educator in diabetes and the commitment to education of the person as an indispensable tool to facilitate self-care, adherence to treatment and metabolic control. 

2. Adapt the power

Food is a fundamental part of the control of diabetes and helps to delay or prevent the onset of complications. The feeding of the person with diabetes is similar to that of any person: they must divide the food throughout the day, that is, make between 3 to 5 doses according to personal characteristics and treatment schedule (breakfast, mid-morning, lunch, snack) and dinner), avoiding foods with a high amount of carbohydrates or that are of fast absorption, since they raise the glucosein a considerable way. The care of food is part of your treatment, therefore, you can not talk about types of food and quantities without also talking about the physical activity you do, the medications you take or whether or not you suffer from other diseases such as cholesterol or hypertension . In short, it is a set of factors that must be considered globally and that make each person with diabetes have a unique and personalized diet, which must be made with the support of the health team. 

3. Maintain adequate hydration

People with diabetes have an increased risk of dehydration because a high blood glucose level causes the kidneys to try to eliminate it in the form of urine. For this reason, people with diabetes tend to be more thirsty when hyperglycemia occurs . Water should be the basis of the hydration of a person with diabetes. There are other drinks that help to improve hydration such as natural juices or without added sugars, “light” or “zero” soft drinks that contain sweeteners instead of sugar and therefore do not increase blood glucose , sports drinks or infusions, but always casual way

4. Exercise regularly

The practice of physical exercise is one of the fundamental pillars of the treatment of diabetes and prevents associated complications. Its benefits occur at many other levels: it improves blood pressure, cholesterol and cardiovascular function. The type of exercise and intensity should be adapted to the age and physical condition of each person with diabetes. 

5. Perform glucose checks frequently and in a structured manner

The analysis of blood glucose levels performed by the person or a family member allows to know the blood glucose levels at any time and detect possible acute complications, hypoglycemia (low blood glucose ) or hyperglycemia ( glucose rises ). It is recommended to perform between 5 and 6 controls a day, before each meal and before going to sleep to have information and adjust the insulin regimen or treatment in general, if necessary. If you exercise, it is recommended to perform an analysis before the start of the activity, some extra measurement while you practice long-term exercise, as well as once finished. 

6. Act quickly in the face of hypoglycaemia

It is common for hypoglycaemia to eat uncontrollably and with great voracity. This entails a total intake of carbohydrates higher than the indicated grams, which is usually the cause of a rebound or hyperglycemia in the later hours. 

7. Avoid the complications of diabetes.

It is important to keep blood glucose levels at the optimum level before and after meals. Likewise, it is necessary to control blood pressure and cholesterol levels.

8. Perform ophthalmologic reviews.

It is essential that people with diabetes perform periodic checkups especially the state of the retina to prevent, detect and successfully treat any type of complication. 

9. Take care of your feet

People with diabetes can have alterations in sensitivity and circulation. It is important to perform a daily inspection of the feet verifying the absence of injuries and to visit the podiatrist regularly.

10. Be adherent with medication.

The medication is a part of the treatment that together with food and exercise are fundamental pillars, that is why it is necessary to agree and follow the recommendations that, together with healthcare professionals, are prescribed. The insulin is the pharmacological basis for treating type 1 diabetes, and other oral medications and / or insulin in type 2 diabetes.